Medical Support Specialist

3 days ago


Lakeland, Florida, United States Elevance Health Full time
About the Role:
We are looking for a highly skilled and compassionate LTSS Service Coordinator to join our team at Elevance Health. As a key member of our care management team, you will be responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. Your primary goal will be to facilitate the Person Centered Planning process that documents the member's preferences, needs, and self-identified goals.

In this role, you will work closely with the person supported to conduct assessments, develop a comprehensive Person Centered Support Plan (PCSP), and backup plan, as well as interface with Medical Directors and participate in interdisciplinary care rounds to support development of a fully integrated care plan. You will also engage the member's circle of support and manage the individual's physical health (PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract, and federal requirements.

Responsibilities:
  • Conduct face-to-face program assessments using various tools with pre-defined questions.
  • Apply motivational interviewing techniques for evaluations, coordination, and management of an individual's waiver (such as LTSS/IDD), and BH or PH needs.
  • Identify members with potential clinical healthcare needs and coordinate those member's cases with the clinical healthcare management and interdisciplinary team.
  • Manage non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities.


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